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The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472
The United States could see an increase in immigrants coming to the country after Hurricanes Irma and Harvey, according to new research from the University of Michigan.According to the study, migrants may find it easier to start over in the United States rather than rebuild from the destruction in their own country.Another reason, according to U-M economists Dean Yang and Parag Mahajan, is that hurricane refugees able to secure green cards or legal permanent residency through their families already established in the country."When there's a bigger stock of previous migrants to the U.S., when someone in their home country is more likely to have a connection to some sort of migrant in the U.S., then the effect of hurricanes on migration is larger," Yang said.The researchers first studied the severity of a hurricane in a given country, using data from meteorological reports to estimate actual damage.Yang and Mahajan then analyzed restricted U.S. Census data from 159 counties over 25 years to see if America saw a rise in immigration following large storms in other countries.The largest effect came from Central America and the Caribbean."These regions get hit a lot by hurricanes that cause severe damage, and there are a lot of Central American and Caribbean immigrants in the U.S. If you're looking for somoene to sponsor you, you actually have that opportunity," Mahajan said.The study cites Hurricane Cesar, which made landfall in Nicaragua in 1996. The hurricane killed 42 people, caused food shortages, .5 million in damage, left 100,000 people homeless. Yang and Mahajan found that in 1996 and 1997, there was a 50 percent increase in legal permanent residencies for Nicaraguans than in 1995."Much of this increase came from immediate relatives of U.S. citizens — parents, spouses and children," Mahajan added. "Repeated, similar responses like this in the data helped us conclude that networks of U.S. citizens from sending countries provide opportunities for family members to escape severe weather events." 2080

The White House on Tuesday said the Justice Department should consider a criminal prosecution of former FBI Director James Comey, claiming he had leaked privileged information to the press and offered false testimony to Congress."It's something they should certainly look at," press secretary Sarah Sanders told reporters when asked whether the administration should prosecute Comey. She acknowledged that it was "not the President's role" to determine which criminal investigations are taken up by the Justice Department.The question arose as Sanders defended Trump's decision to fire Comey earlier this year, a choice Trump's former chief strategist called a mistake this week.Speaking to "60 Minutes" on CBS, Steve Bannon called the Comey decision the worst mistake in "modern political history." 812
The White House does not appear to be making any changes to current virus protocol, even after President Donald Trump and the first lady tested positive for COVID-19.A senior White House official said Friday that masks will still not be mandatory at the White House, describing facial coverings as “a personal choice,” despite overwhelming evidence that they help to stop the spread.And the White House is not planning to move to a different, more reliable testing system after the one it uses failed to detect that adviser Hope Hicks had the virus the day she began experiencing symptoms.The president, his White House and his campaign have generally taken a lax approach to the pandemic, continuing to hold large events and failing to abide by social distancing recommendations.The official, who spoke on condition of anonymity to discuss internal White House thinking, defended the current system. 908
The Scripps National Spelling Bee has released the 27 titles that are on its 2020-21 Great Words, Great Works booklist.The list of books is for students that span from first to eighth grade and will help students prep for their annual school spelling bee with a list of 450 words that are on the School Spelling Bee Study List each year."Parents and teachers are always looking (especially during the summer) for reading suggestions for kids," The Scripps National Spelling Bee said. "The Scripps National Spelling Bee recognizes the important connection between reading and spelling. Before our competitors were great spellers, they were great readers. With that in mind, the Bee team intentionally selected its school-level spelling study words from engaging, age-appropriate books. The Bee organized those titles into the Great Words, Great Works book list. This year, students can expand their vocabularies and their world views while hearing from a diverse cast of characters on topics such as climate change, homelessness, immigration, gender identity, and the power of dreaming. Messages of friendship, hope, and overcoming adversity connect all 27 books, creating bridges between different cultures and life experiences."Here is a sampling of this year's Great Words, Great Works list:Sulwe by Lupita Nyong’oThe Dog Who Lost His Bark by Eoin ColferAda Twist and the Perilous Pants by Andrea BeatyWhales on Stilts by M.T. AndersonA Monster Like Me by Wendy S. SworeNo Fixed Address by Susin NielsenLily and Dunkin by Donna GephartThe Bone Houses by Emily Lloyd-JonesFor a Muse of Fire by Heidi HeiligThe Silmarillion by J.R.R. TolkienThe complete list is available on the Bee’s website. 1701
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